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Real members of MyMSTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
February 12, 2025
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A MyMSTeam Member

Redemonstrated cord T2 hyperintense lesions at C1, C2, C5-C6, T3, and T7" on an MRI scan indicates the presence of multiple areas in the spinal cord at the cervical (C1, C2, C5-C6) and thoracic (T3, T7) levels that appear bright on a T2-weighted image, suggesting damage to the spinal cord tissue, most likely due to a demyelinating disease like multiple sclerosis (MS), but could also be related to other inflammatory or vascular conditions depending on the patient's clinical presentation; further evaluation with a neurologist is necessary to determine the exact cause.
Key points to understand:
T2 hyperintense:
On an MRI, "hyperintense" means bright, and "T2" refers to a specific imaging sequence that highlights areas with increased water content, which can be seen in damaged tissue.
Spinal cord levels:
C1, C2, C5-C6 are cervical vertebrae in the neck, while T3 and T7 are thoracic vertebrae in the mid-back.
Possible causes:
Multiple sclerosis (MS): This is the most common cause of multiple, scattered demyelinating lesions in the central nervous system, often seen on MRI as T2 hyperintense lesions.
Neuromyelitis optica spectrum disorder (NMOSD): Can present with longitudinally extensive spinal cord lesions, which may appear as large areas of T2 hyperintensity.
Transverse myelitis: Inflammation affecting a cross-section of the spinal cord, often seen as a single large T2 hyperintense lesion.
Spinal cord infarction: Stroke affecting the spinal cord, which can also appear as T2 hyperintense lesions.

February 13, 2025
A MyMSTeam Member

I think I am going to ask @A MyMSTeam Member to read my next MRI!

February 25, 2025 (edited)
A MyMSTeam Member

Thank you so much for your thorough response!

February 25, 2025
MyMSTeam

This refers to lesions in the spinal cord that appear hyperintense (brighter) on T2-weighted MRI images, indicating areas of damage or inflammation. The specific locations (C1, C2, C5-C6, T3, T7) correspond to cervical and thoracic spine regions. In multiple sclerosis, such lesions are often caused by demyelination, which Show Full Answer

This refers to lesions in the spinal cord that appear hyperintense (brighter) on T2-weighted MRI images, indicating areas of damage or inflammation. The specific locations (C1, C2, C5-C6, T3, T7) correspond to cervical and thoracic spine regions. In multiple sclerosis, such lesions are often caused by demyelination, which disrupts nerve signaling. These findings may help in diagnosing or monitoring MS progression. Always consult your doctor for interpretation.

February 12, 2025

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